<!DOCTYPE html>
<html lang="zh-cmn-Hans">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width,initial-scale=1,user-scalable=0">
    <title>反馈系统</title>
    <link rel="stylesheet" href="__WEUI__/style/weui.css"/>
    <link rel="stylesheet" href="__WEUI__/example/example.css"/>
</head>
<body ontouchstart>

    <div class="page__bd">
    <form action="{:url('feed/index')}" method="post" class="form-horizontal ajax-form">
        <div class="weui-cells__title">选择评价对象</div>
        <div class="weui-cells">
            <div class="weui-cell weui-cell_select weui-cell_select-after">
                <div class="weui-cell__hd">
                    <label for="" class="weui-label">选择分店</label>
                </div>
                <div class="weui-cell__bd">
                    <select class="weui-select" name="shopid">
                    {volist name="shops" id="shop"}
                        <option value="{$key}">{$shop}</option>
                    {/volist}
                    </select>
                </div>
            </div>
            <div class="weui-cell">
                <div class="weui-cell__hd"><label class="weui-label">评价对象</label></div>
                <div class="weui-cell__bd">
                    <input class="weui-input" type="text" name="target" placeholder="谁服务了您"/>
                </div>
            </div>
        </div>

            
            
        <div class="weui-cells__title">给我们的产品打分</div>
        <div class="weui-cells weui-cells_radio">
            <label class="weui-cell weui-check__label" for="x11">
                <div class="weui-cell__bd">
                    <p>产品好评</p>
                </div>
                <div class="weui-cell__ft">
                    <input type="radio" class="weui-check" name="product" value="1" id="x11">
                    <span class="weui-icon-checked"></span>
                </div>
            </label>
            <label class="weui-cell weui-check__label" for="x12">

                <div class="weui-cell__bd">
                    <p>产品中评</p>
                </div>
                <div class="weui-cell__ft">
                    <input type="radio" name="product" value="2" class="weui-check" id="x12" checked="checked">
                    <span class="weui-icon-checked"></span>
                </div>
            </label>
            <label class="weui-cell weui-check__label" for="x13">

                <div class="weui-cell__bd">
                    <p>产品差评</p>
                </div>
                <div class="weui-cell__ft">
                    <input type="radio" name="product" value="3" class="weui-check" id="x13" checked="checked">
                    <span class="weui-icon-checked"></span>
                </div>
            </label>
           
        </div>

        <div class="weui-cells__title">给我们的服务打分</div>
        <div class="weui-cells weui-cells_radio">
            <label class="weui-cell weui-check__label" for="x21">
                <div class="weui-cell__bd">
                    <p>服务好评</p>
                </div>
                <div class="weui-cell__ft">
                    <input type="radio" class="weui-check" name="service" value="1" id="x21">
                    <span class="weui-icon-checked"></span>
                </div>
            </label>
            <label class="weui-cell weui-check__label" for="x22">

                <div class="weui-cell__bd">
                    <p>服务中评</p>
                </div>
                <div class="weui-cell__ft">
                    <input type="radio" name="service" value="2" class="weui-check" id="x22" checked="checked">
                    <span class="weui-icon-checked"></span>
                </div>
            </label>
            <label class="weui-cell weui-check__label" for="x23">

                <div class="weui-cell__bd">
                    <p>服务差评</p>
                </div>
                <div class="weui-cell__ft">
                    <input type="radio" name="service" value="3" class="weui-check" id="x23" checked="checked">
                    <span class="weui-icon-checked"></span>
                </div>
            </label>
           
        </div>
    
        <div class="weui-cells__title">您的留言</div>
        <div class="weui-cells weui-cells_form">
            <div class="weui-cell">
                <div class="weui-cell__bd">
                    <textarea class="weui-textarea" name="content" placeholder="您肯定有很多话对我们老板说！" rows="3"></textarea>
                    <div class="weui-textarea-counter"><span>0</span>/200</div>
                </div>
            </div>
        </div>

        <div class="weui-btn-area">
        <input type="hidden" name="openid"  value="{$openid}">
        <input type="submit"  class="weui-btn weui-btn_primary"  value="确认">
           
        </div>
    </div>
    <div class="page__ft">
        <a href="javascript:home()"><img src="__WEUI__/example/images/icon_footer_link.png" /></a>
    </div>
    </form>
</div>

   
</body>
<script type="text/javascript" src="__JS__/jquery.min.js"></script>
<script src="__JS__/plugins/layer/layer.min.js" type="text/javascript"></script>

<script type="text/javascript" src="__JS__/common.js"></script>
<script type="text/javascript" src="__JS__/toast.js"></script>
</html>
